Mary Recio
Houston,TX
Summary
Detail oriented and dependable individual seeking to work as a Medical Billing and Coding Specialist in a dynamic organization where excellent communication skills, ability to multitask, and organizational skills can be applied to confirm financial compliance, oversee and verify the accuracy of claims, and ensure timely payments.
Overview
33
33
years of professional experience
Work History
Billing and Coding Specialist
Vital Allergy and Asthma Center
01.2020 - 06.2024
- Performs audit on claims to ensure accuracy (3 offices)
- Daily claim submission
- Obtain from applicable providers, clinic, and support staff complete diagnosis information to ensure proper assignment of codes
- Insurance verification to ensure patient's insurance covers required medical procedure
- Troubleshoot and resolve billing issues such as appeals
- Present financial solutions to patients who may need payment assistance
- Partner with insurance providers to clarify any billing questions
- Navigate account management software in a timely and efficient manner-e-Clinical Works.
- Managed high volumes of medical records efficiently while maintaining strict attention to detail during the coding process.
- Ensured accuracy in coding through regular audits, identifying discrepancies and areas for improvement.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Maintained strict confidentiality in accordance with HIPAA regulations, ensuring secure storage and handling of sensitive patient information.
Security Officer
Andy Frain Security and Services
11.2016 - 06.2019
- Maintained traffic control for morning and after school arrivals and dismissals
- Maintained security for staff and students throughout the premises
- Provided security at multiple entry points
- Maintained safety for our customers
- Checked bA to ensure compliance
- Confirmed and scanned tickets for entry to events.
Bilingual Member Services
Medix Temp Agency
10.2014 - 09.2015
- Maintained and updated members individual eligibility records
- Routine services including but not limited: Selecting a primary care physician, Member identification card, Transportation arrangements.
Bilingual Customer Representative
APAC
08.2012 - 01.2014
- Provided customer service assistance to English and Spanish speaking customers
- Communicated initial contact with client and encouraged call transfer to third party representative to complete inquiry
- Managed customer queries/complaints
- Generated call volume percentage report
- Submitted employee time reports.
Medical Clerk
Girling Health Care
05.2010 - 11.2011
- Inputted patient Explanation of Benefits information into billing software
- Managed Accounts Receivables
- Maintained record availability
- Delivered charts to assigned areas of the hospital by following established routing procedures
- Answered multiple phone lines and routed appropriately
- Maintained quality results by following hospital standards
- Maintain patient confidence by keeping patient records information confidential and adhering to HIPPA regulations
- Served and protected the hospital community by adhering to professional standards, hospital policies and procedures, federal, state and local requirements.
Accountant/Receptionist
University of Texas El Paso
11.1991 - 10.1994
- Greeted visitors with excellent customer service
- Performed clerical duties such as filing, photocopying, individual projects, etc
- Handled deposits
- Scheduled appointments according to availability and priority
- Ensured reception area was tidy and welcoming
- Operated switchboard with efficiency
- Transferred calls to designated personnel
- Coordinated mail flow to ensure timely delivery
- Scheduled office activities
- Corresponded via email and faxes to ensure timely response
- Collected and distributed post.
Education
Certification - Medical Billing/Coding
Fortis Institute
Houston, TX05.2019
Associates - Applied Science
Career Point College
San Antonio, TX05.2010
Certification - Medical Assistance
Career Point College
San Antonio, TX05.2010
GED -
El Paso Community College
El Paso, TX05.1987
Skills
- Attention to detail
- Active Listening
- Communication
- Problem-solving
- Organization
- Time management
- HIPAA Compliance
- Insurance Verification
- Medical claims coding
- ICD-10 Coding
Languages
Spanish
Professional Working
Timeline
Billing and Coding Specialist
Vital Allergy and Asthma Center
01.2020 - 06.2024
Security Officer
Andy Frain Security and Services
11.2016 - 06.2019
Bilingual Member Services
Medix Temp Agency
10.2014 - 09.2015
Bilingual Customer Representative
APAC
08.2012 - 01.2014
Medical Clerk
Girling Health Care
05.2010 - 11.2011
Accountant/Receptionist
University of Texas El Paso
11.1991 - 10.1994
Certification - Medical Billing/Coding
Fortis Institute
Associates - Applied Science
Career Point College
Certification - Medical Assistance
Career Point College
GED -
El Paso Community College
Similar Profiles
Sara SustaitaSara Sustaita
Medical Assistant at Center For Allergy & Asthma of TexasMedical Assistant at Center For Allergy & Asthma of Texas
George NapolesGeorge Napoles
Licensed Vocational Nurse at Allergy, Asthma, And Sinus CenterLicensed Vocational Nurse at Allergy, Asthma, And Sinus Center
Julia BarkerJulia Barker
Medical Assistant at Center 4 Asthma & AllergyMedical Assistant at Center 4 Asthma & Allergy